Case 1

Key Points

  • Often, anxiety can be alleviated by careful explanation, a sympathetic attitude and expert clinical management
  • Drug sedation should not be used for operator convenience, but as a supplement to behavioural management. This procedure required a careful explanation and adequate analgesia
  • Intravenous sedation would have alleviated his anxiety but unnecessarily prolonged his visit to the ED and exposed him to risk of serious adverse events
  • It is never acceptable to inflict unnecessary pain on someone